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T<br />
etanus, also known as lockjaw,<br />
is a serious but preventable<br />
disease that affects the<br />
body's muscles and nerves. It typically<br />
arises from a skin wound that<br />
be<strong>com</strong>es contaminated by a bacterium<br />
called Clostridium Tetani<br />
which is often found in soil.<br />
Once the bacteria are in the body,<br />
they produce a neurotoxin (a protein<br />
that acts as poison affecting<br />
body's nervous system) that causes<br />
muscle spasms. The toxin can travel<br />
throughout body via bloodstream.<br />
As it circulates more widely, the<br />
toxin leads to generalized muscle<br />
spasms. Without treatment, tetanus<br />
can be fatal.<br />
Most cases of tetanus follow a contaminated<br />
cut or deep puncture<br />
injury, such as a wound caused by<br />
stepping on a nail. Injuries that<br />
involve dead skin (such as burns,<br />
frostbite, gangrene, or crush injuries)<br />
are likely to cause tetanus.<br />
Wounds contaminated with soil,<br />
saliva, or feces — if not properly<br />
cleaned — and skin punctures from<br />
non-sterile needles are also at increased<br />
risk.<br />
Another form of tetanus, neonatal<br />
tetanus, occurs in newborns who<br />
are delivered in unsanitary conditions,<br />
especially if the umbilical<br />
cord stump be<strong>com</strong>es contaminated.<br />
Routine immunizations for tetanus<br />
produce antibodies that mothers<br />
pass to their unborn babies. These<br />
maternal antibodies and sanitary<br />
cord-care techniques have made<br />
newborn tetanus very rare in developed<br />
countries.<br />
SYMPTOMS<br />
The hallmark feature of tetanus is<br />
muscle rigidity and spasms. In generalized<br />
tetanus, the initial <strong>com</strong>plaints<br />
may include any of the following:<br />
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V-<strong>CARE</strong><br />
your healthcare bulletin<br />
TETANUS<br />
Irritability, muscle cramps, sore<br />
muscles, weakness, or difficulty<br />
swallowing are <strong>com</strong>monly seen.<br />
Facial muscles are often affected<br />
first. Trismus or lockjaw<br />
is most <strong>com</strong>mon resulting from<br />
spasms of the jaw muscles, responsible<br />
for chewing. A sardonic<br />
smile -- medically termed<br />
risus sardonicus -- is a characteristic<br />
feature that results from<br />
facial muscle spasms.<br />
Muscle spasms are progressive<br />
and may include a characteristic<br />
arching of the back known as<br />
opisthotonus, may cause bones<br />
to break and joints to dislocate.<br />
Severe cases can involve spasms<br />
of the vocal cords or muscles<br />
involved in breathing. If this<br />
happens, death is likely, unless<br />
medical help (mechanical ventilation<br />
with a respirator) is readily<br />
available.<br />
In cephalic tetanus, in addition<br />
to lockjaw, weakness of at least<br />
one other facial muscle occurs.<br />
In two-thirds of these cases,<br />
generalized tetanus will develop.<br />
In localized tetanus, muscle<br />
spasms occur at or near the site<br />
of the injury. This condition<br />
can progress to generalized<br />
tetanus.<br />
In Neonatal tetanus, Neonates<br />
may be irritable and have poor<br />
sucking ability or difficulty<br />
swallowing.<br />
TREATMENT<br />
Tetanus immune globulin<br />
(TIG) is re<strong>com</strong>mended for<br />
treatment of tetanus. TIG can<br />
only help remove unbound<br />
tetanus toxin, but it cannot<br />
affect toxin bound to nerve<br />
endings. A single intramuscular<br />
dose of 3000-5000 units is generally<br />
re<strong>com</strong>mended for children and<br />
adults, with part of the dose infiltrated<br />
around the wound if it can<br />
be identified. The World Health<br />
Organization re<strong>com</strong>mends TIG<br />
500 units by intramuscular injection<br />
or intravenously (depending on the<br />
available preparation) as soon as<br />
possible; in addition, administer age<br />
-appropriate TT-containing vaccine<br />
(Td, Tdap, DT, DPT, DTaP, or TT<br />
depending on age or allergies), 0.5<br />
cc by intramuscular injection at<br />
separate site.<br />
Tetanus disease does not induce<br />
immunity; patients without a history<br />
of primary TT vaccination<br />
should receive a second dose 1–2<br />
months after the first dose and a<br />
third dose 6-12 months later.<br />
PROGNOSIS<br />
Most patients with tetanus survive<br />
and return to previous function.<br />
Older people and those who have a<br />
rapid progression from time of<br />
infection to severe symptoms have<br />
a higher risk of death.<br />
Prevention<br />
Unlike many infectious diseases,<br />
recovery from naturally acquired<br />
tetanus does not usually result in<br />
immunity to tetanus. This is due to<br />
the extreme potency of the tetanospasmin<br />
toxin.<br />
Tetanus can be prevented by vaccination<br />
with tetanus toxoid. It is<br />
re<strong>com</strong>mended that adults receive a<br />
booster vaccine every ten years, and<br />
standard care practice in many<br />
places is to give the booster to any<br />
patient with a puncture wound who<br />
is uncertain of when he or she was<br />
last vaccinated, or if he or she has<br />
had fewer than three lifetime doses<br />
of the vaccine.<br />
Issue 24<br />
16th March, 2012<br />
Mens sana in corpore<br />
sano. (Your prayer<br />
must be for a sound<br />
mind in a sound<br />
body.)<br />
~Juvenal<br />
Inside this issue:<br />
TETANUS 2<br />
HEALTH BENEFITS<br />
OF ORANGE JUICE<br />
2
“There is no known<br />
way to prevent or<br />
cure vitiligo”<br />
Orange juice, together<br />
with a highcarbohydrate,<br />
high<br />
fat meal, prevents<br />
the occurrence of<br />
inflammation<br />
within the body<br />
Page 2 V-<strong>CARE</strong><br />
itiligo is a condition in V which white patches<br />
develop on the skin. Any location<br />
on the body can be affected,<br />
and most people with<br />
vitiligo have white patches on<br />
many areas of the body.<br />
CAUSES<br />
Melanin is the pigment that<br />
gives the skin its characteristic<br />
color. Vitiligo is caused by a<br />
loss of pigment in the skin,<br />
due to destruction of pigment<br />
-forming cells known as<br />
melanocytes. The exact cause<br />
of the destruction of these<br />
cells is not known. One possible<br />
explanation might be that<br />
the body's immune system<br />
destroys the cells, as in other<br />
autoimmune conditions. Although<br />
vitiligo affects all races<br />
equally, it is more noticeable<br />
in dark-skinned people.<br />
RISK FACTORS<br />
Vitiligo affects up to 2% of<br />
the population. In most cases,<br />
vitiligo develops early in life,<br />
between the ages of 10 and 30<br />
years. Ninety-five percent of<br />
those affected will develop the<br />
HEALTH BENEFITS OF ORANGE JUICE<br />
Though it is on many breakfast<br />
tables, the benefits of orange<br />
juice remain poorly understood.<br />
Provides Vitamin C<br />
Drinking at least two glasses of<br />
orange juice per day increases<br />
the vitamin C concentration<br />
within the body by 40 to 64%.<br />
Vitamin C, an essential vitamin<br />
that cannot be synthesized by<br />
human body, is an important<br />
antioxidant.<br />
disorder before age 40. Both<br />
men and women are equally<br />
likely to develop vitiligo.<br />
Vitiligo may run in families;<br />
those with a family history of<br />
vitiligo or premature graying<br />
of the hair are at increased<br />
risk for the development of<br />
vitiligo. Other risk factors that<br />
increase one's chances of developing<br />
vitiligo include having<br />
autoimmune diseases,<br />
such as autoimmune thyroid<br />
disease (Hashimoto's Thyroiditis).<br />
VITLIGO<br />
SYMPTOMS<br />
Symptoms of vitiligo include<br />
an often rapid pigment<br />
loss on several areas<br />
of the skin. The initial appearance<br />
of the white<br />
patches can be followed by<br />
a stable period without any<br />
progression of the condition.<br />
Later on, further cycles<br />
of pigment loss and stability<br />
may be observed. Vitiligo<br />
<strong>com</strong>monly affects areas on<br />
the skin that are exposed to<br />
sun, body folds (such as<br />
armpits), previous sites of<br />
injury, areas around moles,<br />
or areas around body<br />
Protects Against Inflammation<br />
The intake of orange juice, together<br />
with a high-carbohydrate, high-fat<br />
meal, prevents the occurrence of<br />
inflammation within the body,<br />
making it a good preventive measure<br />
against the development of<br />
insulin resistance & atherosclerosis.<br />
Improves Blood Pressure<br />
Regular orange juice consumption<br />
may improve diastolic blood pressure.<br />
Orange juice contains hesperidin,<br />
a healthy water-soluble<br />
plant pigment. Hesperidin serves to<br />
openings. It is rare for pigment<br />
to return once the<br />
white patches have developed.<br />
Vitiligo can also affect<br />
the eyes, skin, and hair.<br />
DIAGNOSIS &<br />
TREATMENT<br />
Your doctor can usually make<br />
the diagnosis of vitiligo during<br />
a physical exam. There is<br />
no known way to prevent or<br />
cure vitiligo. However, several<br />
methods, including cosmetics,<br />
re-pigmentation using<br />
UV light therapy, corticosteroid<br />
creams, depigmentation<br />
of unaffected skin areas,<br />
and skin grafting, can be<br />
used to improve the appearance<br />
of skin severely affected<br />
by vitiligo.<br />
improve the activity of small<br />
blood vessels, blood pressure and<br />
decrease the cardiovascular risk<br />
biomarkers in susceptible patients.<br />
Decreases Cholesterol Levels<br />
Regular orange juice consumption<br />
may lead to the decrease the level<br />
of low-density lipoprotein cholesterol<br />
in patients with high cholesterol<br />
level.
OUR SERVICES<br />
SECOND MEDICAL OPINION<br />
We provide a second medical opinion service from independent consultants on our empanelled<br />
list of qualified doctors. They provide an unbiased opinion of your current<br />
medical condition with treatments that are required to cure the illness. We request you<br />
to raise a query with us and upload/ attach your current medical diagnosis for us to get<br />
back to you with an opinion and the treatment required. Further, if the patient seeking<br />
opinion opts to go for a treatment in our network hospitals, other details can be provided.<br />
ELECTIVE SURGICAL PROCEDURES<br />
CareAsia brings to you a wide range of elective surgical procedures to choose from at<br />
an affordable cost and un<strong>com</strong>promised quality. We have in our network the best hospitals<br />
and surgeons across country who indulge in best surgical practices keeping the quality<br />
and patient safety at forefront. CareAsia would assist you to select a hospital in the<br />
preferred location and would arrange for your travel and stay throughout the treatment<br />
as selected. We would request you to go through our package details for making the best<br />
choice for yourself. We also provide second medical opinion services to enable you to<br />
make informed decisions. We also offer customized packages for treatment in India.<br />
Apart from the medical treatment we also offer various value add-ons like customized<br />
tourism options and visa and immigration assistance. To avail our services please sign up<br />
and create your profile.<br />
WELLNESS PROGRAMME (COMPLETE HEALTH CHECK UP)<br />
Our wellness program offers one of the most <strong>com</strong>prehensive and thorough medical<br />
check up for assessing your health status. The 360 degree screening investigates your<br />
health and renders detailed consultations with specialists. The detailed examination will<br />
not only identify any ailment you may be suffering from, but also identifies any affliction<br />
you might suffer in the future and re<strong>com</strong>mends remedial action for the same. There will<br />
be consultations after the tests with renowned consultants and guidance for future<br />
course of action if any required.<br />
ELECTRONIC MEDICAL RECORD MANAGEMENT<br />
Issue 24<br />
The Electronic Medical Record Management system developed by CareAsia is best defined<br />
as Your Virtual Health Manager. Salient product features of EMRM are:<br />
1. Unlimited Medical Record Storage of all types whether it be prescriptions, discharge<br />
summaries, digital scan images, imaging reports, or any pathological investigation report.<br />
2. Digitization of Medical Records. The system picks out data from your scanned medical<br />
records and digitizes it so as to process your raw information to give you useful information.<br />
3. Customized Reporting. All the reports submitted by users are processed and a summary/detailed<br />
report is generated as per the user’s needs.<br />
4. Intelligent Alerts. Once you upload the data, the system processes it using our algorithms<br />
and generates alerts, reminders, warnings, etc to assist your healthcare needs<br />
through a very user friendly interface. For example, the CareAsia EMRM system immediately<br />
updates your records to show the reports that are out of bounds and what are the<br />
parameters that are off limits or it could update the user about a lab report that might be<br />
very old and would re<strong>com</strong>mend a retest for the same<br />
Page 3<br />
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i t h u m o r o r<br />
educative and we<br />
will make sure they<br />
be<strong>com</strong>e a part of out<br />
Newsletter..<br />
info@vipulmedcare.<strong>com</strong>
CORPORATE OFFICE<br />
VIPUL MED<strong>CARE</strong> PRIVATE LIMITED<br />
534, UDYOG VIHAR, PHASE V<br />
GURGAON,<br />
HARYANA—122016<br />
Phone: +91-124-4629830<br />
Fax: +91-124-4699611<br />
E-mail: info@vipulmedcare.<strong>com</strong><br />
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FOR QUERIES<br />
HELPLINE NUMBERS<br />
+91-124-4629830<br />
EMAIL<br />
info@vipulmedcare.<strong>com</strong><br />
CareAsia, a brand of Vipul MedCare Pvt. Ltd., promoted by Vipul Group of India is fo-<br />
cused on providing supreme healthcare services to patients searching for quality healthcare<br />
options at affordable prices across the globe. It serves as the bridge between patients seek-<br />
ing consultation, treatments, surgeries and top quality hospitals that facilitate efficient<br />
healthcare for visiting patients from abroad.<br />
CareAsia intends to serve by providing value added services to its clients. It would serve<br />
patients beginning from the time the patient enquires from us to the time the patient gets<br />
his/her treatment performed and satisfactorily returns to the country of origin.<br />
CareAsia has a strong presence within India (tie ups with major internationally accredited,<br />
top quality hospitals), which is one of the top destinations for medical tourism. Also, it has<br />
an international presence with offices in the Middle East and South East Asia to be a truly<br />
global organization in this industry.<br />
We at Vipul MedCare strongly encourage patients to sign up with us over the web site or<br />
contact us to avail the best medical tourism options across the globe. With our 24/7<br />
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care industry, and our excellent IT systems which would act as your life long electronic<br />
medical record keeper, we are confident to provide the best services to serve our clients.<br />
LOCATIONS<br />
OMAN<br />
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Management Services<br />
P.O. Box No. 1031, Muttrah,<br />
Sultanate of Oman<br />
Tel: +9682481846<br />
MALAYSIA<br />
Compumed Services Sdn Bhd<br />
No. 50, 50-03-13A, Level<br />
Wisma UOA Damansara<br />
No. 50 Jalan Dungun,<br />
Damansara Heights-50490<br />
Kuala Lumpur, Malaysia<br />
UAE-DUBAI<br />
MaxCare Middle East<br />
202, Al Habbai Building<br />
Opposite Deira City Centre<br />
Deira, Dubai, UAE<br />
Tel: +971-4-2367575<br />
DELHI (Registered Office)<br />
B-416 Ansal Chamber 1,Bhikaji Cama<br />
Place,<br />
New Delhi,Pin Code:110 066<br />
Contact Person: Mr. Chanden Prasad<br />
Tel: 011-46074578-81, 9313333270<br />
Fax No:011-41659833<br />
MUMBAI<br />
C/1, 2nd Floor Harganga Mahal, Khodadad<br />
Circle<br />
Dr. Ambedkar Road<br />
Dadar T.T.,Dadar(East)Mumbai,Pin<br />
Code :400014<br />
Contact Person: Mr. A.k.Sachdeva<br />
Tel: 022-24157048-9, 022-<br />
65951945,9969137073<br />
Fax No:022-24160821<br />
CHENNAI<br />
Old No 12/2, New No 29, Seshachalam<br />
Street<br />
Saidapet, Chennai- 600 015<br />
Contact Person: Mr. K. Rajshekaran<br />
(9841030629)<br />
Tel: 044-24335717/19, 420 10092<br />
Fax No: 044-24335716/18<br />
KOLKATA<br />
16/2, 2nd Floor Lord Sinha Road,<br />
Kolkata Pin Code: 700 071<br />
Contact Person: Mr. Dr.Arup Banerjee<br />
Tel: 033-22820224, 9331825012<br />
Fax No:033-22820224<br />
COCHIN<br />
Mariam Tower Door No36/3120-b-3,<br />
Kaloor Kadavantham Road, Kathrikadavu,<br />
Cochin-17<br />
Contact Person: Mr. Rajesh R<br />
(9744497212)<br />
Tel: 0484-2102021, 2330079<br />
Fax No: 0484-2330080<br />
BANGALORE<br />
# 154, 2nd Floor, Mallige Complex,KHB<br />
Colony, 5th Block,<br />
Kormangala, Banglore -5600950<br />
Contact Person: Mr. NCS Rao<br />
Tel: 080-64512965, 64522965-6,<br />
Tele Fax No: 080-41464765<br />
HYDERABAD<br />
408, 4th Floor,Navkethan <strong>com</strong>plex,<br />
Opp to Clock Tower., S D RD,<br />
Secunderabad - 500 003<br />
Contact Person: Dr. Srikanth<br />
Tel: 040 - 27803247<br />
Fax No: 39121957<br />
JAIPUR<br />
S-10, Shyam Nagar Ajmer Road,<br />
Jaipur Rajasthan Pin Code: 302 019<br />
Contact Person: Mr. Uma Shankar<br />
Tel: 0141-5182035, 2297569-<br />
70,9829422303<br />
Tele Fax No: 0141-2297335
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